| NPI | 1407091762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACIELA NORMA CEDILLO Office Manager 210-616-0736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H6030) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2009-06-25 |