| NPI | 1639114119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MARONEY Physician/Owner 361-729-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L1379) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-08-22 |