| NPI | 1841423324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVANIA PERALTA Manager 915-227-0137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2020-06-17 |