| NPI | 1871643007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISELLA NAVARRETE Receptionit 940-325-1543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J4552) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX J4552) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2017-03-28 |