NPI | 1891177655 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTIN LOPEZ Director 915-858-1076 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP0904X Clinic/Center, Public Health, Federal |
Additional Taxonomies | 251S00000X (Licence: TX 1603-1603A) |
Enumeration Date | 2015-06-29 |
Last Update Date | 2024-02-07 |