| NPI | 1669514899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA SILVA FLORES Owner 956-383-3383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX 101368) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-09-17 |