| NPI | 1205005154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CAMACHO Medical/Dental Staff Coordinator 210-358-1654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX 231757) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |