| NPI | 1720703374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNE LYN JASTER Family Nurse Practitioner 210-543-7200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2024-08-20 |