| NPI | 1730351198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO MARTINEZ President 361-906-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L8345) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M3637) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |