| NPI | 1801408588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA TRUJILLO Practice Manager 210-658-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2020-08-23 |
| Last Update Date | 2026-04-30 |