| NPI | 1043371776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALFONSO VELASQUEZ President 915-855-8519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NM A111499) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2011-12-05 |