NPI | 1750744736 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA T. MOSSBURG President/Owner 830-660-4383 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX L7490) |
Enumeration Date | 2016-03-29 |
Last Update Date | 2023-10-25 |