| NPI | 1548575707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E FLORES Dr.'S Assistant/ Billing Personel 210-656-4216 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX K7278) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |