| NPI | 1841557642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS ALEJANDRO RODRIGUEZ Manager 210-680-8081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M8960) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |