| NPI | 1922504588 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LEROY CANDELARIA President 915-577-0100 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty | 
| Additional Taxonomies | 207R00000X Internal Medicine | 
| Enumeration Date | 2018-04-03 | 
| Last Update Date | 2024-02-22 |