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 |