| NPI | 1043570112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAELENA GONZALEZ-SOZER Director/Owner 915-351-7644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K4904) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K4904) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |