| NPI | 1205349040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERIN PATEL Medical Doctor / Owner 210-742-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2025-09-02 |