| NPI | 1871779306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OREL MICHAEL EVERETT Physician 361-854-7576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: TX K1189) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |