| NPI | 1487779286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIPE ANTONIO SARDA Medical Director 409-886-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX L1731) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |