| NPI | 1023401981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODRIGO XAVIER MENCHACA Provider 940-763-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX H0628) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |