| NPI | 1801108865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A MORENO CEO 915-542-6519 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 152W00000X Optometrist |
| 207Q00000X Family Medicine | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 213E00000X Podiatrist | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2010-07-26 |