| NPI | 1710194816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE LEE SOLITAIRE Executive Director 210-949-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |