| NPI | 1700240991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENA CARRILLO HENDERSON Nurse Practitioner 956-739-1796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NM CNP-02601) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |