| NPI | 1366590952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA M BARIBEAU Administrator 210-692-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX D9352) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX D9352) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2013-08-28 |