| NPI | 1821021437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOISES MATEO SOULAS President/Manager 210-545-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 208600000X Surgery |
| 208C00000X Colon & Rectal Surgery | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |