NPI | 1902211212 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL RAY KILGORE Sole/Proprietor 956-687-6196 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H1123) |
Enumeration Date | 2014-06-25 |
Last Update Date | 2014-06-25 |