| NPI | 1598174427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R BRENT JACKSON Owner 210-494-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2017-04-12 |