| NPI | 1700904612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAY ROBY Executive Director 210-481-7453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2014-04-10 |