| NPI | 1588610067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA MORA President/CEO Owner 361-358-2392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207Q00000X Family Medicine | |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2025-03-10 |