| NPI | 1780104679 |
|---|---|
| Other Name | PERFORMANCE THERAPEUTICS-SAN ANTONIO |
| Entity Type | Organization |
| Authorized Contact | EDWARD R CANALES COO 956-687-4559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-08-24 |