| NPI | 1407399462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ANTONIO DE LEON Owner 956-898-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-11-23 |