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 |