| NPI | 1013098607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE GOMEZ Office Manager 915-544-4042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX H9957) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: TX H9957) |
| 208C00000X Colon & Rectal Surgery (Licence: TX N6538) | |
| 208600000X Surgery (Licence: TX N6538) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2018-12-27 |