| NPI | 1194823617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA TRIPP Administrator 210-616-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-11-02 |