| NPI | 1720469331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE GWOSDZ-GILMAN Sole Member 830-237-9386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX k2915) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |