| NPI | 1518644590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO ESTANISLAO CARRANZA Authorized Offical , Managing Mbr 956-766-2166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |