| NPI | 1710030580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AURORA RIVAS Business Adm 210-433-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX D4124) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-08-21 |