| NPI | 1184818882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRMA MAY AVILA FERNANDEZ DE LEON President 256-213-7425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL 18151) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |