| NPI | 1578970828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA CRUZ Administrator 512-814-1807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX 111308) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX G7380) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-09-04 |