| NPI | 1659995306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN CAMACHO Practicing Physician 551-236-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |