| NPI | 1518264670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME HOLBERTON SQUARE President 915-777-3151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M7650) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2023-09-14 |