| NPI | 1609697242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY LORIN RILEY Credentialing Manager 361-851-6626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |