| NPI | 1154165181 |
|---|---|
| Former Legal Business Name | VALBALL MEDICAL MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | JULIO CESAR VALCARCEL Manager/Owner 281-323-4773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-25 |