| NPI | 1366537201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EGBERT MIRANDA Owner 361-991-5520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-10-03 |