NPI | 1073081584 |
---|---|
Doing Business As | OPTIMAL WELLNESS AND LASER SOLUTION |
Entity Type | Organization |
Authorized Contact | PEDRO CASTRO Medical Provider 325-659-6957 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2018-11-02 |
Last Update Date | 2018-11-02 |