NPI | 1568997880 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH VASSER Physician/Owner 956-343-9244 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: FL ME111472) |
Enumeration Date | 2017-04-24 |
Last Update Date | 2017-04-24 |