| NPI | 1710230065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENGRACIA DEL ROCIO VAZQUEZ Owner 915-599-9993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX 614032) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |