| NPI | 1891803078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA LYNN VALLADARES Medical Doctor / Physician Owner 956-702-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2011-03-10 |