| NPI | 1477860823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LYNETTE GOMEZ DINGER Owner/President 210-499-4824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX L9178) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-11-29 |