| NPI | 1336017045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASEY ROBERTSON CAO 210-678-3039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2025-10-24 |
| Last Update Date | 2025-10-24 |