| NPI | 1720467939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE A GONZALEZ Owner 956-727-2629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |