| NPI | 1790131597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W HOVORKA Medical Director 956-992-9161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208600000X Surgery | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2020-01-03 |