| NPI | 1265684856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL N ABALIHI Medical Director 915-225-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N1507) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N1507) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2022-02-09 |