| NPI | 1417128505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN ESCOBAR-VAZQUEZ President 214-339-9350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: TX J1085) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-10-09 |