| NPI | 1518365741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PENA Managing Member 956-624-9312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX AP126924) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |