| NPI | 1477849107 |
|---|---|
| Doing Business As | PSJA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ORLANDO VELAZQUEZ Owner 956-245-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |