| NPI | 1851800361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN LEIGH SMITH Sole Member/Medical Director 210-575-4334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-09-27 |