| NPI | 1174710040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAY ROBY Executive Director 210-661-5622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2014-08-08 |