| NPI | 1891962676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY FERDINAND Administrative Assistant 210-227-0324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2009-01-14 |