| NPI | 1972816692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY N TAYLOR Authorized Official 210-495-9860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |