| NPI | 1730453226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RAY BARTAY Registered Agent 830-620-0956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-08-01 |