| NPI | 1376995266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARDO VAZQUEZ President 939-227-9680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |