| NPI | 1609380146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER JOHN DEWITT Office Manager 210-844-1687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX K2151) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |