| NPI | 1053031237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR DIAZ-LUNA Authorized Official 915-533-1789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2023-02-02 |