| NPI | 1912061276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMIAN OKPAKO IDJAGBORO CEO 956-536-1403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX PA03357) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2009-04-25 |