| NPI | 1124140793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA R LOPEZ Psychiatrist 210-403-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX H5464) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |