| NPI | 1679846430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND J DOMINGUEZ President 956-492-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX H3874) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-06-22 |