| NPI | 1083028625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK CLAY BUZBEE President 817-706-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA02891) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |