| NPI | 1891194882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL SOLIS Owner 956-581-0918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2025-07-29 |