| NPI | 1144411901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS ALBERTO CARDENTEY Physician In Training 915-581-3830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TX 23410660985) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |