| NPI | 1548405459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA GONZALEZ Chief Operations Officer 956-488-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA059252) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2008-12-05 |