| NPI | 1295001766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GRESHAM Owner 210-391-4282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX M6641) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M6641) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2022-09-14 |