| 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 |