| NPI | 1477881035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMBARA RENE HALL Business Office Manager 210-824-5201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX F-4095) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |