| NPI | 1518491240 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BELMA D GHANBARIAN Office Manager 210-922-3627  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: TX AP133647)  | 
| Enumeration Date | 2017-04-19 | 
| Last Update Date | 2017-04-19 |