| NPI | 1265537351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR A ESCAMILLA Owner 210-227-5168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX D0123) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX D0123) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2010-07-21 |