NPI | 1922504588 |
---|---|
Entity Type | Organization |
Authorized Contact | LEROY CANDELARIA President 915-577-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2018-04-03 |
Last Update Date | 2024-02-22 |