| NPI | 1023206513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS GONZALEZ President 210-200-8798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX L7397) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2014-03-10 |