| NPI | 1023356524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRISON LEWIS Physician Assistant 214-415-9334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA03127) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |