| NPI | 1902023690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO J. BUXO President And Owner 703-751-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA 0101049863) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |