NPI | 1437457710 |
---|---|
Doing Business As | WELLMED SENIOR CLINIC AT BEN WHITE |
Entity Type | Organization |
Authorized Contact | CARLOS O HERNANDEZ President 210-877-7570 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2011-03-10 |
Last Update Date | 2011-07-28 |