NPI | 1215042189 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY ALEXANDER CANNON President 210-650-9066 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L8002) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2017-04-05 |