| NPI | 1669801254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERADO VAZQUEZ Owner 210-520-4461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX G6036) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |