| NPI | 1487481818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELMO LOPEZ CEO 956-625-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-11-18 |