| NPI | 1629062179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LOYD VANDERHEIDEN President 361-993-1747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H8480) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2017-03-08 |