| NPI | 1053648543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA WOOD President 281-969-7137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX 000000000) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2014-03-04 |