| NPI | 1437019411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIJIOKE OGBU Authorized Official 361-739-0309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2025-11-13 |
| Last Update Date | 2026-05-29 |