| NPI | 1932303864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY S STAUFFER Owner 830-997-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2015-09-17 |