| NPI | 1992314744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRES IBARRA Secretary 830-282-1544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2021-11-02 |