| NPI | 1790713717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR LOPEZ Owner 956-763-4682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2011-12-27 |