| NPI | 1356675854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILEY A PATTERSON Owner/Provider 210-224-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX G1745) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2010-04-16 |