| NPI | 1689262313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO D ROSAS-BLUM Owner 915-615-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 235Z00000X Speech-Language Pathologist, | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2023-12-19 |