| NPI | 1922240902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR ELIGO MEJIA Owner 985-735-8022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.08620R) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-09 |