NPI | 1467452110 |
---|---|
Entity Type | Organization |
Authorized Contact | ADELE BROMILEY Pediatrician 956-546-3126 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX E1279) |
Enumeration Date | 2005-07-22 |
Last Update Date | 2020-08-22 |