| NPI | 1376711267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR FRANCISCO PEREZ President Owner 260-441-3262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01044945) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2011-09-21 |