| NPI | 1609726074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO MORALES POWAO Pmhnp Bc 210-379-4820 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2026-02-03 |
| Last Update Date | 2026-02-03 |