| NPI | 1861719239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA JANE SULLIVAN Owner 830-379-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N3335) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX E6077) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2015-12-02 |