| NPI | 1245736024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON P QUINONES Member 210-301-0125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M7159) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX M7159) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-02 |