| NPI | 1588266605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANJULATHA BADAM Physician 210-651-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2021-10-19 |