| NPI | 1619113883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA JEANETTE LOPEZ Authorized Official 210-912-9322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX H4499) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2022-08-11 |