| NPI | 1841664067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS ALBERTO COSME-THILLET Owner/Np 210-997-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX AP 124023) |
| Enumeration Date | 2015-11-27 |
| Last Update Date | 2015-11-27 |