| NPI | 1548519945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA F DAVIS Physician/Owner 210-614-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX K2679) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX H9390) |
| 208000000X Pediatrics (Licence: TX N9662) | |
| 208000000X Pediatrics (Licence: TX P0058) | |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |