NPI | 1659524163 |
---|---|
Entity Type | Organization |
Authorized Contact | ELISEO M VILLALOBOS Owner 210-722-0607 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: TX L2042) |
Additional Taxonomies | 207KA0200X Allergy & Immunology Allergy |
Enumeration Date | 2008-10-28 |
Last Update Date | 2020-04-01 |