| NPI | 1528125234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORAZON GLADYS AJERO Md 956-383-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TX M1455) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |