| NPI | 1972842664 |
|---|---|
| Doing Business As | CONVIVA CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | GIOANY BACON-WILLIAMS Director, Provider Contracting 210-608-2110 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2025-05-20 |