| NPI | 1861333064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASEY ROBERTSON Chief Admin Officer 210-510-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2026-04-02 |
| Last Update Date | 2026-04-02 |