| NPI | 1649477605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE PALMIRE Off Administrator 210-616-0798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-10 |