| NPI | 1558517821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSEI GUTENBERG Administrator 210-255-8084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 008675) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2012-02-16 |