NPI | 1316947609 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL FINKE Officer/Authorized Official 210-478-5430 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 007790) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
Enumeration Date | 2005-07-28 |
Last Update Date | 2025-09-15 |