| NPI | 1801104377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESPIRIDION MENDEZ Owner/Physician Assistant 214-385-4665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX PA05410) |
| Enumeration Date | 2010-09-18 |
| Last Update Date | 2010-09-18 |