| NPI | 1528683810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA LOPEZ Revenue Cycle Director 915-258-5421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208000000X Pediatrics |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2025-10-13 |