| NPI | 1790168417 |
|---|---|
| Doing Business As | EAR, NOSE & THROAT CLINICS OF SAN ANTONIO |
| Entity Type | Organization |
| Authorized Contact | TRACY GIBSON Credentialer 210-616-0283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |