| NPI | 1861522583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA BOETA Business Manager 915-255-9317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2024-01-17 |