| NPI | 1033145545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RADCLIFFE KOTHMANN Authorized Official 830-997-2181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2017-11-20 |