| NPI | 1558461855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GAYE HENNESSEE President 830-379-0299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX M1754) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2016-10-11 |