N/A

NUEVO LAREDO, TAMAULIPAS
NPI1346783776
Entity TypeOrganization
Authorized ContactJUAN ANTONIO SEGOVIANO
Medico Cirujano Dentista
956-282-6182
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
(Licence: ZZ  9352611)
Enumeration Date2016-12-03
Last Update Date2016-12-03
Business Address
N/A
AV. TECNOLOGICO 183
NUEVO LAREDO, TAMAULIPAS 88275
Phone number: 867-717-5390
Mailing Address
N/A
1221 BROWN DR
LAREDO, TX 78045-8382
Phone number: 956-282-6182