| NPI | 1548501984 |
|---|---|
| Doing Business As | STM PRIMARY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | VINNIE D KALLUMADANDA Medical Doctor/ Owner 956-688-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N0872) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M5733) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-08-02 |