| NPI | 1679760177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVONNIE P ESTRADA Office Manager 210-967-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX TXJ1141) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2009-01-07 |