| NPI | 1891284329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA ROMAN Owner 254-681-8324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX AP131878) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2022-04-19 |