| NPI | 1073796512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTIAGO A ZAMORA Medical Doctor 512-473-4180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX F4720) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |