| NPI | 1811717523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIOMARA CABRERA Credentialing Manager 939-231-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center Emergency Care |
| Additional Taxonomies | 261QR0200X Clinic/Center Radiology |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-28 |