| NPI | 1275503393 |
|---|---|
| Doing Business As | SOU |
| Entity Type | Organization |
| Authorized Contact | VERONICA MARIE CAMARILLO Practice Manager 210-212-8622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX L2477) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N7871) |
| 208600000X Surgery (Licence: TX G7417) | |
| 213E00000X Podiatrist (Licence: TX 1596) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2018-03-17 |