| NPI | 1730593740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS GERARDO GARCIA-GALLEGOS President 210-468-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N3045) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX N3045) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |