| NPI | 1275742173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANETTE RAI ELLIOTT-MULLENS Owner/President 830-627-3385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K9775) |
| Additional Taxonomies | 208000000X Pediatrics |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics (Licence: TX K9775) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2010-03-10 |