NPI | 1205906047 |
---|---|
Former Legal Business Name | BANOWSKY FITCH & ASSOCIATES |
Entity Type | Organization |
Authorized Contact | SAMMY C VICK Doctor / Owner 210-616-0410 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology (Licence: TX D5728) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2016-05-10 |