| NPI | 1396297743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DAVID KENYON LLC Board Member 210-337-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: TX 160288) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |