| Organization Name: | IRIS WELL CHILD PHYSICALS |
| NPI Number: | 1881834539 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IRIS GARCIA (OWNER) |
| Mailing Address: | 200 W. Edinburg Hwy 107 Suite B Elsa |
| State: | TX US |
| Postal Code: | 785431274 |
| Phone Number: | 9562629805 |
| Fax Number: | 9562629233 |
| NPI Enumeration Date: | 02/20/2009 |
| NPI Last Update Date: | 02/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0200X |
| License Number: | 533197 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |