NPI | 1801144522 |
---|---|
Entity Type | Organization |
Authorized Contact | WANDA BATCH Administrator 210-822-8326 |
Organization Subpart ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
208100000X Physical Medicine & Rehabilitation | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2012-08-28 |
Last Update Date | 2024-09-30 |