| NPI | 1497824767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY ARLENE JOHNSON Physician 361-883-9688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX L7431) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-07-23 |