| NPI | 1366105546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELLIE REYES SCHWAB CEO 747-272-7109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2022-05-05 |