NPI | 1346783776 |
---|---|
Entity Type | Organization |
Authorized Contact | JUAN ANTONIO SEGOVIANO Medico Cirujano Dentista 956-282-6182 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: ZZ 9352611) |
Enumeration Date | 2016-12-03 |
Last Update Date | 2016-12-03 |