| NPI | 1841519618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOLAWOLE ADEMUYIWA ODULAJA Director 210-455-0074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N2694) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2011-08-19 |