| NPI | 1780057513 |
|---|---|
| Doing Business As | UNIVERSITY OF THE INCARNATE WORD SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BJ LOUGH Associate Athletic Dir Sport Med 210-283-6481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2018-10-02 |