NPI | 1134310642 |
---|---|
Entity Type | Organization |
Authorized Contact | MAYRA S. BUSTILLO President 972-562-1188 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX L6308) |
Enumeration Date | 2007-08-08 |
Last Update Date | 2007-08-08 |