| NPI | 1386284842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALMA HORRILLENO Co Owner 469-209-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2022-12-09 |