| NPI | 1356522577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN STACEY HARDING Credentialing Manager 210-804-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 225X00000X Occupational Therapist | |
| 363L00000X Nurse Practitioner | |
| 208100000X Physical Medicine & Rehabilitation | |
| 225100000X Physical Therapist | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2025-09-03 |