| NPI | 1154669158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIPE AVILA Owner 956-968-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2013-01-25 |