| NPI | 1154629434 |
|---|---|
| Doing Business As | WELLMED SHORELINE SENIOR CLINIC |
| Entity Type | Organization |
| Authorized Contact | CARLOS O HERNANDEZ President 210-877-7570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2014-02-24 |