| NPI | 1962959304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEOFILO SANCHEZ Owner/Doctor 210-473-7920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 72546) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 10979) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |