| NPI | 1841449253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN NOLAND BOURNE President 210-646-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX M9875) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M9875) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M9875) | |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2009-02-06 |