| NPI | 1235568262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DOLORES CHAPA Manager 210-471-9314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX M5096) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: TX M5096) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2024-10-30 |