| NPI | 1043498470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY W.O. KRUEGER Owner/Physician 210-697-0880 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: TX E4463) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |