| NPI | 1255637906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A RODRIGUEZ Owner/Administrator 210-646-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H4659) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-02-07 |