| NPI | 1447391008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY RICO Administrator 210-680-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: TX 522455) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-07-31 |