| NPI | 1467146969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY RIOS Founder 682-282-0057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2023-07-06 |