| NPI | 1790317949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MONTANO Manager 210-789-1267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |