| NPI | 1972271211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTA ATALLA CEO 409-916-7647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 122300000X Dentist |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2021-09-01 |