| NPI | 1902847155 |
|---|---|
| Other Name | CORPORATION |
| Entity Type | Organization |
| Authorized Contact | HARRY HERNANDEZ President 210-656-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX G4130) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX H7845) |
| 207Q00000X Family Medicine (Licence: TX C6987) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |