| NPI | 1871557132 |
|---|---|
| Doing Business As | SAME |
| Entity Type | Organization |
| Authorized Contact | MIRIAM Y THURBER Office Manager 956-982-1561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX H8864) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2020-08-22 |