| NPI | 1003145483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO CAVAZOS President/Physician 210-479-3297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2022-07-21 |