| NPI | 1912274853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE HAMPEL Office Administrator 915-577-9339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX K0160) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |