| NPI | 1871772855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN GUADALUPE NORDYKE Office Manager 956-982-1696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX J7115) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2007-10-26 |