| NPI | 1134592074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY ANGEL Administrator 210-396-8562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SC1501X Clinical Nurse Specialist, Community Health/Public Health (Licence: TX F6062) |
| Enumeration Date | 2015-10-31 |
| Last Update Date | 2015-10-31 |