| NPI | 1083034862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE BARRERA President 210-468-5426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: TX N3480) |
| Additional Taxonomies | 207YS0012X (Licence: TX N3480) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |