| 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 |