| NPI | 1720527567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA HERNANDEZ Owner 210-684-6844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX F7704) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX F7704) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |