| NPI | 1356792659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLOR RIVERA Credentialing 956-992-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N2446) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2023-03-07 |