| NPI | 1023488707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY N NIEMIETZ Billing Manager 830-491-7090 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TX J1859) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-07 |