| NPI | 1477186526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLLY LUCIO SEVIER Owner 956-545-1327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2024-09-18 |