| NPI | 1346213675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS CAMPOS President 830-629-8161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX F9273) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2007-09-27 |