| NPI | 1629044326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARDO CARBAJAL Administrator 254-580-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 173000000X Legal Medicine |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2011-03-09 |