| NPI | 1588987317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO BERTONI President 832-830-8997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX E5682) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX E5682) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2011-05-04 |