| NPI | 1265918569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN GENE SAMUELSON Physician / Owner 210-664-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2020-01-13 |