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 |