| NPI | 1538240478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE FUCIARELLI Vice President For Finance And Admi 915-215-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 204E00000X Oral & Maxillofacial Surgery | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) | |
| 207T00000X Neurological Surgery | |
| 207W00000X Ophthalmology | |
| 207Y00000X Otolaryngology | |
| 208200000X Plastic Surgery | |
| 2086S0102X Surgery, Surgical Critical Care | |
| 2086S0120X Surgery, Pediatric Surgery | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| 2086S0127X Surgery, Trauma Surgery | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2024-05-29 |