| NPI | 1750304846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIDA SOZA Administrator 956-487-5621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-01-05 |