| 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 |