| NPI | 1700074176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA AGUILAR SITEK Doctor 210-492-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX K5757) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |