| NPI | 1700193224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELMA P COOK Owner 956-383-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2012-03-08 |