| NPI | 1548796378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL TREVINO CEO 409-899-8191 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-07-05 |