| NPI | 1164513339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISTAN STA.ELENA BRIONES Owner 270-926-7228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: KY 17318) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |