| NPI | 1548554645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BERTINO Director 210-224-5481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YP0228X Otolaryngology Pediatric Otolaryngology |
| 207YS0123X Otolaryngology Facial Plastic Surgery | |
| 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck | |
| 261QA3000X Clinic/Center Augmentative Communication | |
| 261QE0800X Clinic/Center Endoscopy | |
| 261QH0700X Clinic/Center Hearing and Speech | |
| 283X00000X Rehabilitation Hospital | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-07 |