| NPI | 1881734341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELIA GONZALES-CONOVER Office Manager 210-886-9725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX K4191) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |