| NPI | 1619179439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND BELTRAN Credentialing 210-861-4688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 000111) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2021-02-24 |