| NPI | 1386823953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MICHAEL REDMOND Practice Manager 210-732-1773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX H7500) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX H7500) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |