| NPI | 1972520302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R SPROUSE President 830-896-4711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2023-10-20 |