| NPI | 1710783543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERENICE ORTEGON ZAMBRANO Md 903-216-4599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-05-20 |