| NPI | 1982936993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA GARCIA Controller 956-726-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TX G4161) |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2011-11-27 |