| NPI | 1669702940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO REGINO JUAREZ President/Owner 210-681-6380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX F0534) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |