| NPI | 1346740719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIJIOKE OGBU Authorized Official 361-739-0309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2023-03-06 |