| NPI | 1316078819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT N YOUNG President 210-496-2639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX E7540) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |