| NPI | 1669673828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR KOZLIK CEO 956-554-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 007132) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-10-21 |