| NPI | 1215055017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA VILLANUEVA Billing Office Manager 210-438-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |