NPI | 1073907184 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT STEELE Chief Operating Officer 210-315-3305 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L1053) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2015-03-26 |
Last Update Date | 2020-03-31 |