| NPI | 1912314089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY JACOBS President 830-660-5278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX AC01139) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |