| NPI | 1194210658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA V GOMEZ Owner 210-708-9329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208D00000X General Practice | |
| 363AM0700X Physician Assistant Medical | |
| 363LA2100X Nurse Practitioner Acute Care | |
| 363LF0000X Nurse Practitioner Family | |
| 363LW0102X Nurse Practitioner Women's Health | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2020-04-27 |