| NPI | 1740701184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIVEL CATANO Clinic Office Manager 432-689-6818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TX M3675) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2018-09-25 |