| NPI | 1972830354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M. KEAN Chief Operating Officer 210-804-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2023-08-11 |