| NPI | 1679692776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH FRAZIER Executive Administrator 210-615-6995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K0839) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |