| NPI | 1306162920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN PATRICK O'QUINN President 210-558-6234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: TX PENDING) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2010-04-08 |