| NPI | 1003470618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASMA KHATOON Owner 210-941-4886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-04-30 |