| NPI | 1881914372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO BLANCO PACHECO Owner 915-532-1922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX F3271) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-06-07 |