NPI | 1568694628 |
---|---|
Entity Type | Organization |
Authorized Contact | RAYMOND PAUL HARLE President/Owner 210-614-3866 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX C5705) |
Enumeration Date | 2009-08-21 |
Last Update Date | 2009-08-21 |