| NPI | 1346799624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR O PACHECO Owner 915-920-7225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX K6670) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2022-11-15 |