| NPI | 1407286396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXINE MENDOZA Clinic Director 903-886-5853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX 261QA1903X) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |