| NPI | 1073067914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY ZACHARIAH Owner 214-227-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA08050) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |