| NPI | 1962697649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS MATHIS Office Manager 210-525-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX H5196) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2008-05-01 |