| NPI | 1972926541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURY SLESS Manager 210-218-5367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 27425) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX k6105) |
| 207X00000X Orthopaedic Surgery (Licence: TX m8348) | |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: TX P6398) | |
| Enumeration Date | 2014-02-01 |
| Last Update Date | 2014-02-01 |