| NPI | 1982130894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANNE MACKIN Physician Owner 210-867-1279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P1351) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |