| NPI | 1598375610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE JOHNSON CEO/President 210-504-4707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171000000X Military Health Care Provider |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2024-03-13 |