| NPI | 1760465173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE MIRANDA Manager 956-581-2168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: TX J2458) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2023-06-29 |