| NPI | 1245523133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELOISA MARISCAL Billing Supervisor 956-994-8983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |