| NPI | 1992478119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAHI SERRANO CEO 956-525-4442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2022-04-08 |