| NPI | 1295500825 |
|---|---|
| Doing Business As | GREAT LAKES PEDIATRIC CARDIOLOGY |
| Entity Type | Organization |
| Authorized Contact | ISMAEL GONZALEZ RANGEL Pediatric Cardiologist 361-228-5103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |