| NPI | 1851672422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYDEE DELEON Director Of Operation 956-287-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX 102260) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |