| NPI | 1013488626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALEE SALVATO Owner 210-686-0603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2018-12-07 |