| NPI | 1194070060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRA VARELA CARRASCO Owner 512-750-0108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX N3539) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |