| NPI | 1598547879 |
|---|---|
| Former Legal Business Name | PRIVATE PRACTICE |
| Entity Type | Organization |
| Authorized Contact | PATRICIA SANCHEZ Co Owner/Chief Operations Officer 210-240-7185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-10-19 |