| NPI | 1033577291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER BLIZZARD Physician Assistant 972-378-6908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA10040) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |