| NPI | 1154526044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA CRAVEY Administrator 830-257-4417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 008616) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2014-02-06 |