| NPI | 1285961201 |
|---|---|
| Other Name | AVDCENTER |
| Entity Type | Organization |
| Authorized Contact | WALLY REYNALDO PRADO Administrative Director 956-994-9193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2011-02-25 |