| NPI | 1649650011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULITO P UY Owner / Medical Director 806-418-2170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: TX K1710) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: TX K1710) |
| 261QP2300X Clinic/Center, Primary Care (Licence: TX AP117567) | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2019-02-04 |