| NPI | 1376545624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA RUTH MORSE Physician 210-614-3403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX G6858) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2020-08-22 |