| NPI | 1831561208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C LOWRY Owner 210-333-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX J9179) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |