NPI | 1861127870 |
---|---|
Entity Type | Organization |
Authorized Contact | VIRGINIA BETANCOURT-SANCHEZ Authorized Official/Owner 702-209-3417 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2022-07-22 |
Last Update Date | 2022-07-22 |