| NPI | 1760637060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE CATHERINE JUAREZ Billing Manager 210-492-9144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K1347) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2009-01-05 |