| 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 |