| NPI | 1093038648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY L FRIAS Practice Manager 210-648-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2019-04-09 |