| NPI | 1285818849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO VILLARREAL CAO 325-481-8248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2020-01-21 |