| NPI | 1407861073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW B SZANTO Medical Practice Administrator 254-772-8677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX H2608) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-06-26 |