| NPI | 1740451533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOTTIE RIOS Credentialing Specialist 210-223-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H4373) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2012-06-11 |