NPI | 1033558028 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES WOODROW MCCURLEY President 830-328-3559 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: TX N7720) |
Enumeration Date | 2013-06-23 |
Last Update Date | 2013-06-23 |