| NPI | 1619698651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AGUILAR DAVILA President And Provider 210-473-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2023-04-18 |