| NPI | 1306069067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE PINKSTON Medical Doctor 210-615-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K9871) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |