NPI | 1386310621 |
---|---|
Entity Type | Organization |
Authorized Contact | STACY SPEEDLIN GONZALEZ Owner 830-377-0713 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2021-08-17 |
Last Update Date | 2022-02-25 |