| NPI | 1477215937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDELFONSO R RODRIGUEZ Owner 210-364-2815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2022-01-18 |