| NPI | 1689259087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM BRUGGEMAN Managing Member 210-373-3704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-03-17 |