NPI | 1285171538 |
---|---|
Entity Type | Organization |
Authorized Contact | CARSON DIANNE MCCAFFERTY Clinical Director 210-888-5200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX mo814) |
Enumeration Date | 2017-01-25 |
Last Update Date | 2024-06-28 |