NPI | 1235526864 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMYRA L ROGERS Owner 210-495-2117 |
Organization Subpart ? | No |
Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: TX L3099) |
Enumeration Date | 2015-04-21 |
Last Update Date | 2015-04-21 |