| NPI | 1538291406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY ANTHONY BENAVIDES Office Manager 956-428-6601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX G7996) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |