| NPI | 1437720257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIAL OQUENDO RINCON Md (Owner) 469-606-0753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2021-08-26 |