| NPI | 1750666095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE BATO BENIGNO Secretary/President 432-367-4817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K9021) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |