| NPI | 1386648798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES THEIVAGT Partner/Officer 956-687-7896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| 231H00000X Audiologist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2023-10-26 |