| NPI | 1427312859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JEFFREY JENKS Manager 956-545-1694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX L1083) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2012-11-08 |