| NPI | 1164085650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE A. BARRIOS Administrator 210-573-7683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2019-04-19 |