| NPI | 1750956835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX J MCKINLAY Owner 210-865-6047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-05-21 |