| NPI | 1356703243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA R KROEKER President 512-491-0017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |