| NPI | 1518465079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO A QUINTANILLA Medical Director 361-993-4835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2023-03-28 |