| NPI | 1538720552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL IVAN PARRA TORRES Owner 915-263-3715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2019-06-21 |