| NPI | 1942957162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NESTOR DANIEL BONILLA Chief Financial Officer 830-757-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-03-08 |