| NPI | 1821220518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO ANDRES QUICENO Owner 469-916-4906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX L2571) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-08-14 |