| NPI | 1558391730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE DI BLASI Owner 830-703-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX L7944) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX L7952) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2009-12-07 |