| NPI | 1609080241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROQUE JOEL RAMIREZ Physician And Owner 361-767-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX K4201) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |