| NPI | 1003154188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS ORTIZ Authorized Official 281-463-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00334) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2014-02-05 |