| NPI | 1639450182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIA P ABUEME Manager 210-615-8434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: TX J7401) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |