| NPI | 1912931957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN GRUNDHOEFER Manager 210-617-4728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0207X Clinic/Center, Radiology, Mobile Mammography |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-12-16 |