| NPI | 1992969760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN G PREDDY Physician/Owner 830-278-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: TX J0786) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2016-04-17 |