| NPI | 1679012074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN CONTRERAS Director Of Operations 210-354-7139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-19 |