| NPI | 1154499077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHLOE B CASTILLO Credentialing Specialist 210-804-5416 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2086S0105X Surgery, Surgery of the Hand | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2023-08-11 |