| NPI | 1124246103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY J TOMASOVIC Owner 210-615-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: TX G7730) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2009-07-29 |