| 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 |