| NPI | 1609985407 |
|---|---|
| Doing Business As | PEMBROKE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CARL FREDERICK ERICKSON Owner Physician 210-641-6559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H2361) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2010-04-09 |