NPI | 1861681975 |
---|---|
Other Name | VICTOR IVAN LUGO-MIRO MD |
Entity Type | Organization |
Authorized Contact | VICTOR I LUGO MIRO CEO/Owner 281-360-8501 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H6890) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX H6890) |
Enumeration Date | 2007-10-15 |
Last Update Date | 2009-10-08 |