| NPI | 1649251752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA V GOMEZ Office Mgr 210-614-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX F8582) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX E5204) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2009-12-07 |