| NPI | 1407644313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE A COMPTON Credentialing Manager 830-832-9703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |