| NPI | 1417129719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA N LEGGETT Billing Manager/Consultant 210-344-0164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX G6456) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |