| NPI | 1467971929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO MARTINEZ Facility Medical Director 210-379-1709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K5346) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |