| NPI | 1093932964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLON KLOPFENSTEIN President 817-690-8708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00014) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |