| NPI | 1174592844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL FINKE Officer/Authorized Official 210-478-5430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CO 0253) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2025-05-07 |