| NPI | 1386064673 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JESUS FERNANDO ESCARZAGA Manager 915-740-5122  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX M3317)  | 
| Enumeration Date | 2014-04-24 | 
| Last Update Date | 2014-04-24 |