| NPI | 1689779852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE LUIS LOPEZ GUTIERREZ President 210-542-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME92874) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |