| NPI | 1033258710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET MARY NOVAK Clinic Director 830-895-4201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: TX 527725) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2012-03-28 |