| NPI | 1932398690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS ANTONIO LOPEZ President/Owner 210-921-6088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L1649) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2008-11-17 |