| NPI | 1407265259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTO CEZAR LASTIMOSA Managing Member 817-908-8124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX N8651) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |