NPI | 1689243156 |
---|---|
Doing Business As | ALTA VITA MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | LAIDEE HANIKA FRANCIA Owner/Np 210-332-9100 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2021-06-21 |
Last Update Date | 2022-05-19 |