| NPI | 1700368701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEROY BERNAL CEO 210-388-6290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |