| NPI | 1083843056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANAEL MCGREW President 936-718-9501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00005) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2009-07-10 |