| NPI | 1255840500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN RAMON MANUEL CHAVEZ Owner 915-303-9215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246YC3302X Spec/Tech, Health Info, Coding Specialist, Physician Office Based |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2024-03-27 |