| NPI | 1114303427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEODULO E. AVES Md/President 936-321-8627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |