| NPI | 1740727130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RYAN KLING Director 210-332-3730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: TX Q2917) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |