| NPI | 1306691167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA A. PITTMAN-WALLER Physician 210-416-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-04-23 |