| NPI | 1689898249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DAWN WILLIAMS Whcnp 361-570-1082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: TX 595240) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |