| NPI | 1598323461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS LOPEZ Owner 722-226-6859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2024-03-05 |