| NPI | 1770604688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO WONG General Partner Owner 956-287-1207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: TX K1137) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-03-27 |