| NPI | 1811182389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVIRA CANALES BURNS Owner 432-686-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TX H0219) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |