| NPI | 1073629119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOVEGILDO S GARCIA President Owner 270-769-6875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: KY 17498) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: KY 20007) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |