NPI | 1689902389 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY MURRAH Provider 210-725-6293 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX 127885) |
Enumeration Date | 2009-11-18 |
Last Update Date | 2009-11-18 |