| NPI | 1093907750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL JOSEPH KASBERG Physician/CEO 325-655-7969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: TX J3826) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |