| NPI | 1841207727 |
|---|---|
| Other Name | PROFESSIONAL ASSOCIATION |
| Entity Type | Organization |
| Authorized Contact | RAYMUND MART POQUIZ President 817-652-3395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2012-07-09 |