| NPI | 1326712092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI MILLIGAN Sr. Director Of Client Experience 210-598-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2022-08-31 |