| NPI | 1336574920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY DURRANT President 210-558-6288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: TX P5970) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |