| NPI | 1992734016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD GREEN President 210-403-3528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 008069) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2010-01-28 |