| NPI | 1205939600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL DOMINGUEZ Office Manager 915-541-8903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX J0881) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |