| NPI | 1457773111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLYN L CABRERA Owner/Cmo 210-901-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX K8044) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2019-09-20 |