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 |