| NPI | 1720342454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD EWESUEDO Medical Director 210-625-1171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208U00000X Clinical Pharmacology (Licence: TX N2069) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |