| NPI | 1306020318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESITA G BALDERAS Owner 210-344-0506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX L0757) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2009-09-08 |