| NPI | 1376314567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO RODRIGUEZ BARRERA Vice President 939-525-0525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 133N00000X Nutritionist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |