NPI | 1386030161 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLOS RICARDO VELASCO Owner 832-563-2381 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX M2171) |
Enumeration Date | 2015-04-08 |
Last Update Date | 2015-04-08 |