| NPI | 1295508083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH FARRAR Practice Manager 210-710-4265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-09 |