| NPI | 1497222343 |
|---|---|
| Doing Business As | MEDICO MD |
| Entity Type | Organization |
| Authorized Contact | ANDREA CARRILLO Manager 512-920-3107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |