| NPI | 1790493641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIKEZIE CHIDIEBERE AMADI Owner/Medical Director 915-373-9066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |