| NPI | 1558049163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E. HEAUSLER CEO 210-906-8478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2024-11-15 |