NPI | 1639435472 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA A. APODACA Credentialing Specialist 424-206-1919 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A96718) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A96718) |
Enumeration Date | 2012-04-05 |
Last Update Date | 2012-04-05 |