| NPI | 1811354442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OGECHIKA KARL ALOZIE Chief Executive Officer 915-229-6448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX N6141) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2019-02-01 |