| NPI | 1588157077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE JESUS SILVA Registered Agent 915-500-9876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J0675) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |