| NPI | 1366290462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY CHERIYAN Owner 210-606-6790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-11-14 |