| NPI | 1275294464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN BOYLE DUNCAN Owner 210-990-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2022-01-26 |