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 |