NPI | 1366850984 |
---|---|
Entity Type | Organization |
Authorized Contact | VANESSA RODRIGUEZ President/Physician 765-404-4136 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME100283) |
Enumeration Date | 2014-07-28 |
Last Update Date | 2014-07-28 |