| NPI | 1770851420 |
|---|---|
| Former Legal Business Name | CRT PROFESSIONAL MEDICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | JULIO CORDERO SEPULVEDA President 939-717-8690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208600000X Surgery |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2011-12-09 |