| NPI | 1588801609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LORTON BOULLIOUN President 830-303-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX k2312) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2010-01-07 |