| NPI | 1598903353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFONSO H LUEVANO Medical Director 830-876-9458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX L7622) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: TX L7622) |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 363AM0700X Physician Assistant Medical | |
| Enumeration Date | 2009-01-31 |
| Last Update Date | 2018-09-27 |