| NPI | 1417398876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY S. MARONEY Owner/Physician 361-450-0347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L1379) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-11-25 |