| NPI | 1821286600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARDO VAZQUEZ Doctor 210-308-5933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2021-04-28 |