| NPI | 1225962319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME ABURTO Sole Member 915-540-5453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2026-06-11 |
| Last Update Date | 2026-06-11 |