| NPI | 1144224171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA J MEDOLA Supervisor 210-692-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX F1406) |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2008-03-26 |