| NPI | 1568007797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAMMARIE D. LOPEZ President 939-258-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2024-01-30 |