| NPI | 1104001171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDINE SHERBERT Office Supervisor 210-656-3109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J6289) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-09 |