| NPI | 1043419542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALA S SAVANICH Owner 210-317-5527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 747 636) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |