| NPI | 1548348618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY CASTILLO Director Of Patient Accounts 956-969-5383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 460718) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX G3026) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2009-10-22 |