| NPI | 1316023773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL AYALA Md 210-222-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 251B00000X Case Management |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2021-10-19 |