| NPI | 1902668460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORDELIA ADAME Vice President 956-383-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |