| NPI | 1114396991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN BRAID Executive Administrator 210-614-4742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 130238) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |