NPI | 1629443403 |
---|---|
Entity Type | Organization |
Authorized Contact | HAITHAM JIFI BAHLOOL President 361-779-5456 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2015-12-05 |
Last Update Date | 2015-12-05 |