| NPI | 1770031783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M. GONZALEZ President 210-753-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: TX F6677) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2019-11-07 |