NPI | 1902247125 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANCISCO ARREDONDO Medical Director 210-337-8453 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX N6672) |
Additional Taxonomies | 305R00000X Preferred Provider Organization |
Enumeration Date | 2013-07-16 |
Last Update Date | 2013-07-16 |