| NPI | 1164825089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR ZEPEDA Doctor 915-595-4701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |