| NPI | 1649363573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHARLES ODONNELL Physician Owner 830-257-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX E3389) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-07-02 |