| NPI | 1841174729 |
|---|---|
| Doing Business As | TEAMSTERS 631 MEDICAL CENTER WIGWAM |
| Entity Type | Organization |
| Authorized Contact | STEVEN ASHLEY HINITT President 210-563-5077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |