| NPI | 1508010117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE CASTANEDA President 210-379-4599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX 200400447322) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2008-11-10 |