| NPI | 1609153030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR ESTRADA MENDOZA Owner And Treating Physician 256-997-6182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AL 25607) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |