| NPI | 1811191984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA A. VILLAGOMEZ Credentials Coordinator 361-961-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: PA MA-000061L) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |