| NPI | 1215798186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON MICHAEL THOMPSON Managing Member 210-256-2150 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-02-02 |