| NPI | 1457902256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEAL Owner 210-568-5816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2020-09-22 |