| NPI | 1336204403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE HERRERA Billing Coordinator 210-561-2861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 23482) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2010-04-07 |