| NPI | 1073721478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA VICTORIA SPURBECK Office Manager 915-546-2656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: TX M1367) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |