| NPI | 1790265718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY LEVAI Practice Admin 210-718-9965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251E00000X Home Health |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2022-08-10 |