| 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 |