| NPI | 1750811287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH KNIGHT Practice Administrator 210-487-7463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 225100000X Physical Therapist | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-06-20 |