| NPI | 1184098279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARD BAILEY Owner 210-478-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2022-07-21 |