| NPI | 1003451188 |
|---|---|
| Doing Business As | CHILDREN'S INTERNATIONAL MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | EDUARDO HERNANDEZ CEO/Manager 985-646-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |