| NPI | 1336415371 | 
|---|---|
| Former Legal Business Name | YURII BORSHCH SOLE MBR | 
| Entity Type | Organization | 
| Authorized Contact | JUAN SOTO Administrator 210-233-9331 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX M2907) | 
| Enumeration Date | 2012-03-23 | 
| Last Update Date | 2014-02-04 |