| NPI | 1760058531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MEISTER Authorized Official 210-862-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2021-06-02 |