| NPI | 1538550371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORDELIA ADAME Vice President 956-867-1585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 15281) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2021-11-03 |