| NPI | 1629365820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EGBERT MIRANDA Owner/Physician 361-991-5520 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX H7792) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2019-02-12 |