| NPI | 1083737647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L SEGURA Practice Administrator 210-433-0366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX G1316) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2013-01-28 |