| NPI | 1063668085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SULLIVAN Reimbursement Coordinator 210-863-3195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX J4485) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |