| NPI | 1639619380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE L ACEVES President 210-816-3837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX J7741) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-05-09 |