| NPI | 1760828933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE GARCIA Credentialing Supervisor 210-261-1072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: TX 001021086) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2023-05-26 |