| NPI | 1548539687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN TREHARNE-ESPARZA Administrator 915-532-6069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX H2059) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |