| NPI | 1821522285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA ALDERETE Legal Operations Manager 210-598-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2021-04-07 |