| NPI | 1972985315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS ROBERTO ORTIZ Owner/Md 956-443-0601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2023-12-29 |