| NPI | 1477970358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M BLACKLOCK Physician/Owner 210-621-0640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX F5119) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |