| NPI | 1275990996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN JOSEPH ELIZONDO Owner 210-237-5498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX J7776) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX J7776) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-03-02 |