| NPI | 1275836835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA KEMPF Owner / Provider 210-545-5128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: TX H7262) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: TX L3778) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX K5579) | |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2013-12-30 |