| NPI | 1619161163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA RUEDA Clinic Business Office Assistant 915-545-6580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2022-07-21 |