| NPI | 1952077711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA HARLAN Credentialing Manager 830-730-5025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2023-05-25 |