| NPI | 1700054558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNULFO TARIN CARRASCO M.D./Medical Director 210-614-4825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX H4217) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2019-11-26 |