| NPI | 1578950333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GUSTAVO GOMEZ Managing Partner 940-231-1129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX L1055) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |