NPI | 1104602507 |
---|---|
Doing Business As | DLT FAMILY MEDICINE AND AESTHETICS |
Entity Type | Organization |
Authorized Contact | RAMON DE LA TORRE Provider/Owner 956-754-0969 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2023-09-01 |
Last Update Date | 2023-09-22 |