| NPI | 1457403347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELITA BAUTISTA FRANDO Co Owner 940-720-5755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX k4889) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX k3729) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-16 |