| NPI | 1578330452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW READ Owner 361-355-8202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2024-10-03 |