| NPI | 1407621675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDAN TIMOTHY FARRELL Managing Partmer 210-632-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2023-11-17 |