| NPI | 1962961409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN A JOHNSON Family Nurse Practitioner 210-598-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |