| NPI | 1881050052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KEITH ROSE Owner 361-356-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX J4486) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |