| NPI | 1700070281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GILYARD President 210-271-7411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171000000X Military Health Care Provider (Licence: TX MT040302) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |