| NPI | 1932157120 |
|---|---|
| Doing Business As | LLEWELYN HORTILLOSA M.D. |
| Entity Type | Organization |
| Authorized Contact | DAVID MASSENGALE CFO 270-465-3561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2010-12-29 |