| NPI | 1851639090 |
|---|---|
| Doing Business As | LA FERIA CHILDRENS CLINIC |
| Entity Type | Organization |
| Authorized Contact | OMAR J PENA-LOPEZ M.D. 917-498-4825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N1058) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-23 |