| NPI | 1386867497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA CALDAS SANTIAGO General Manager 210-481-3119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX h5625) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |