| NPI | 1699098400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE GARZA Billing Manager 210-595-6696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2018-10-09 |