| NPI | 1417522657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR J BUITRON Chief Operating Officer 210-708-4913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2024-01-26 |