| NPI | 1174831945 | 
|---|---|
| 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 | 2010-09-15 | 
| Last Update Date | 2010-09-30 |