| NPI | 1366423683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J WEATHERFORD Office Manager 210-699-3815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2024-11-19 |