| NPI | 1871526442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS S CHRISTIAN Owner/Provider 830-278-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX E4254) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: TX E4254) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2019-05-09 |