| NPI | 1366423683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE RUIZ Office Manager 210-410-2042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2025-11-20 |