| NPI | 1548687122 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | THIMIOS PARTALAS President 210-347-9864 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 777944) | 
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: TX 7412) | 
| Enumeration Date | 2014-03-21 | 
| Last Update Date | 2014-03-21 |