| NPI | 1356966287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CALAIS Sole Member 210-226-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |