| NPI | 1366997868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN J VAZQUEZ-BAUZA President 402-212-6235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NE NE19950) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |