| NPI | 1326526583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIN TIJERINA Director Of Credentialing 361-549-0415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2021-06-29 |