| NPI | 1770501132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE F SOTOLONGO President 712-329-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2014-04-22 |