| NPI | 1295058295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PABLO LEONARDO Ownder 254-526-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX G1945) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2014-06-05 |