| NPI | 1215345202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIOS G LEILOGLOU Owner/Physician 210-392-3506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX L2984) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |