| NPI | 1487074050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUEHAYNEE CAVAZOS Billing Credentialing Ofiicer 956-205-3630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2019-01-03 |