| NPI | 1639286370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY M HOUGH President 210-582-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 207Q00000X Family Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2022-08-18 |