| NPI | 1427367630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO ANTONIO ALVARADO President / Md 210-286-2703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX N1252) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |