| NPI | 1912406596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HALPERT President 361-884-2904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX M8019) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: TX M8019) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-03-14 |