| 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 |