| NPI | 1710110069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO A ORTEGA Physician 915-859-7901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX D0993) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX D0993) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |