| NPI | 1083896633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA TOOMBS Owner 210-269-9979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA02118) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2008-10-01 |