| NPI | 1528385689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME JAVIER GUTIERREZ Physician 830-765-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX J9880) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: TX J9880) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2012-04-23 |