| NPI | 1265323000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL ELLIOTT, NP Owner 210-886-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |