| NPI | 1710313143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGO LOPEZ Owner 361-883-4323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: TX 674586) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-09-17 |