| NPI | 1730519158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HUGHES Officer Manager 830-896-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX H9895) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX G2979) |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2020-03-06 |