| NPI | 1417073750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMOON DOCTOR Owner 830-775-3025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX F2437) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX F2437) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-05-21 |