| NPI | 1750186698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE BIRKELO Credentialing Specialist 210-756-5240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-02-14 |