| NPI | 1851834857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE BRANNIGAN Credentialing Specialist 361-985-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX Q2352) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |