| 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 |