| NPI | 1306206628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL RODRIGUEZ Owner 210-363-0970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX M9619) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |