| NPI | 1114251352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS M D'AVIGNON Owner 210-494-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX M3508) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2021-03-09 |