| NPI | 1164829511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG T DIAZ Owner 210-287-9640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2018-10-23 |