NPI | 1922295989 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL ALBERT LENZ Owner 956-633-5369 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX J7553) |
Enumeration Date | 2007-10-03 |
Last Update Date | 2023-08-08 |