| NPI | 1881004737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGARDO ANTONIO CERA Manager 915-532-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX K9162) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |