| NPI | 1710239900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CHARLES WASCHER Physician/Owner 210-225-3524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX D7358) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |