| NPI | 1598108797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE URIBE Office Manager 210-708-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: TX N3853) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2019-12-23 |