| NPI | 1861467862 |
|---|---|
| Other Name | PROFESSIONAL ASSOCIATION |
| Entity Type | Organization |
| Authorized Contact | ROGER M SIFUENTES Owner 361-387-9496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2013-05-02 |