| NPI | 1710364708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMYRA L ROGERS Owner 210-495-2117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: TX L3099) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |