| NPI | 1417751637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE COMPTON Contracting 830-832-9703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-05-01 |