Organization
ER DOCS PROFESSIONAL ASSOCIATION
Active
Other names
Cosmetic Center Laredo
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL SERGIO CANTU-WILLMAN M.D. (PRESIDENT)
(956) 724-6000
Entity
Organization
Contact information
Practice address
6410 MCPHERSON RD STE 3, LAREDO, TX 78041-6193
(956) 724-6000
(956) 724-6000
Mailing address
6410 MCPHERSON RD STE 3, LAREDO, TX 78041-6193
(956) 724-6000
(956) 724-6000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
E2997
TX
Other
Enumeration date
02/27/2017
Last updated
04/25/2017
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