| NPI | 1528616935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH TREVINO Receptionist/Admin 210-696-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |