| NPI | 1992002547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAY ROBY Executive Director 210-661-5622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2014-04-10 |