| NPI | 1770800575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MEDOVICH CFO 830-258-7632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX 550119) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 550119) |
| 207R00000X Internal Medicine (Licence: TX 550119) | |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2023-03-11 |