| NPI | 1134395593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PABLO GUAJARDO Owner 210-922-0621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX E7415) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2014-07-28 |