| NPI | 1932797388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX J MCKINLAY Owner 210-865-6047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 174400000X Specialist |
| 261QS1200X Clinic/Center Sleep Disorder Diagnostic | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2020-12-31 |