| NPI | 1497258255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA GLORIA FIERROS CEO 210-773-7440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: TX Q7190) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX Q7190) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2022-03-31 |