NPI | 1154749737 |
---|---|
Doing Business As | AUSTIN HWY-VILLAGE DRIVE CLINIC |
Entity Type | Organization |
Authorized Contact | ELIAS JURADO LORENZANA Medical Director 210-828-4404 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX E6481) |
Enumeration Date | 2014-04-01 |
Last Update Date | 2014-04-01 |