| 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 |