| NPI | 1619712395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA RAMIREZ Billing Manager 325-277-2460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2025-08-11 |