| NPI | 1841380615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE BATO BENIGNO President / Secretary 432-367-4817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX K9021) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-11-05 |