| NPI | 1679765325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ERNESTINA GALLEGOS Office Manager 210-977-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L1015) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX L1015) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-17 |