| 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 |