| NPI | 1861497448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELMA SANCHEZ Office Manager 830-278-4453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX G6787) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: TX 45D0506268) |
| 207Q00000X Family Medicine (Licence: TX H0376) | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2012-11-05 |