| NPI | 1912587155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAQIB SIDDIQUI Administrator 210-963-7093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2021-04-12 |