| NPI | 1073762571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT TERRAZAS KOCUREK Member 409-938-5766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2011-11-01 |