| NPI | 1609291368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA M FERNANDEZ Director / President 210-287-7311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME114714) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: FL ME114714) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-04-30 |