| NPI | 1205188455 |
|---|---|
| Doing Business As | AMISTAD MEDICAL PROFESSIONALS |
| Entity Type | Organization |
| Authorized Contact | ADRIAN F LARSON Clinic Director 830-774-2505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |