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 |