| NPI | 1558638262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAY GRUESBECK Medical Director 210-438-8055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H7749) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |