| NPI | 1316421373 |
|---|---|
| Doing Business As | CHILDREN'S INTERNATIONAL MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | EDUARDO HERNANDEZ Chief Executive Office 985-646-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |