| NPI | 1447390729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE RICARDO VALENCIA Medical Doctor 940-322-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K8546) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |