NPI | 1386426484 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA LAYTON Practice Manager 210-442-9192 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2023-10-16 |
Last Update Date | 2025-09-05 |