| NPI | 1386946903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK H SHANNON President 210-532-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX D2834) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX D2834) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX D2834) | |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |