| 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 (Licence: TX E6481) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |