| NPI | 1639556541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANWAR E MONROY Medical Director 409-739-7691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX N9389) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2019-02-12 |