| NPI | 1558132365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY LORIN RILEY Credentialing Manager 361-851-6626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-10 |