| NPI | 1184322802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA LYNN THOMAS Owner/Nurse Practitioner 210-372-6236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-03-10 |