| NPI | 1972096568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY D. PARKHURST Chief Executive Officer 210-615-9358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2026-03-03 |