| NPI | 1760426522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESIA L LEE Physician/Owner 210-949-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX J0572) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX J0572) |
| 207N00000X Dermatology (Licence: TX J7551) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-04-09 |