| NPI | 1487971867 |
|---|---|
| Doing Business As | DEZAVALA FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | SARA JANE APSLEY AMBRIZ Owner 210-694-4081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX G4792) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2011-04-15 |