| NPI | 1952590390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY HAMON President 210-479-5784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX H8107) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: TX H8107) |
| 2086S0129X Surgery Vascular Surgery (Licence: TX H8107) | |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2008-06-30 |