| NPI | 1154500270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY A HERNANDEZ Phyisician 210-616-0709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K0489) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |