NPI | 1780717058 |
---|---|
Other Name | BCBS - PEDIATRIC SPECIALIST ONLY |
Entity Type | Organization |
Authorized Contact | ALICE CANTU Assoc Vice Pres, Rco 254-215-9719 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2007-03-14 |
Last Update Date | 2013-06-11 |