| NPI | 1528303153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDOLFO C. DELEON President/Co Owner 361-537-3605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX 677578) |
| Enumeration Date | 2012-12-08 |
| Last Update Date | 2013-03-24 |