NPI | 1558379701 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN WAYNE STIGALL President 830-625-6300 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: TX j6747) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2008-06-16 |