| NPI | 1932613882 |
|---|---|
| Doing Business As | MI DOCTOR |
| Entity Type | Organization |
| Authorized Contact | HECTOR VALLADARES Physician Assistant. 682-718-9683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |