| NPI | 1659925782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JAMES BONNET Manager 210-290-8350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2023-01-10 |