| NPI | 1700096070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACIELA MORENO Physician Owner/President 210-373-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX L4580) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-12-26 |