| NPI | 1922301712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL FINKE Officer/Authorized Official 210-478-5430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 130083) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2025-09-15 |