| NPI | 1790499424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC IBANEZ Managing Member 361-334-0937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-01-09 |