| NPI | 1649820796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA CANTU System Director, Cbs 254-215-9719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207N00000X Dermatology |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208200000X Plastic Surgery | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 208600000X Surgery | |
| 213E00000X Podiatrist | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2024-08-01 |