| NPI | 1639596216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THIMIOS PARTALAS President 210-347-9864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 777944) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: TX 7412) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-03-21 |