NPI | 1104118173 |
---|---|
Entity Type | Organization |
Authorized Contact | ALAN JEFFREY RECHTER Medical Director 281-820-1900 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX J9542) |
2085R0202X Radiology, Diagnostic Radiology | |
Enumeration Date | 2011-05-10 |
Last Update Date | 2023-09-07 |