| NPI | 1134396450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG D GENTRY Network Admin 210-616-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX G6956) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |