| NPI | 1972934362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL B PACKARD President/Sole Owner 210-223-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: TX L1419) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2018-04-05 |