NPI | 1295249910 |
---|---|
Doing Business As | LIVEWELL MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | MONICA GONZALEZ President 956-609-6699 |
Organization Subpart ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2017-11-17 |
Last Update Date | 2020-09-10 |