| NPI | 1609618628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA LESLIE MCCLINTON Owner/Nurse Practitioner 210-901-8197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |