| NPI | 1407464845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE A GARCIA Credentialing 888-367-2155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744R1102X Specialist, Research Study |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |