NPI | 1558688614 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANE C DRIGGS Owner/Physician 956-554-0775 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX L2227) |
Enumeration Date | 2010-04-29 |
Last Update Date | 2010-04-29 |