| NPI | 1881662906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGO DAVILA Ubo Manager 361-961-6091 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2025-06-12 |