| NPI | 1235299777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT HERRERA Office Manager 205-280-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL 19174) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |