| NPI | 1104195932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MIGUEL MEJIA Certified Surgical Assistant 210-683-4452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2014-10-06 |