| NPI | 1992906762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE E. IGOA President 956-682-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX G5833) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA 05400) |
| 363A00000X Physician Assistant (Licence: TX PA 05401) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2009-07-16 |