NPI | 1518539881 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA MONTES Owner 956-605-6104 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine |
Enumeration Date | 2021-07-15 |
Last Update Date | 2023-04-12 |