| NPI | 1215794318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA NOVOTNY Owner 210-980-4767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2025-05-14 |