| NPI | 1871602938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH RENTERIA LUNA President Owner 210-949-1568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J9594) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |