| NPI | 1114159357 |
|---|---|
| Doing Business As | PERMIAN BASIN SURGICAL ASSOC |
| Entity Type | Organization |
| Authorized Contact | STEVEN WADE FATH Owner/Md 432-333-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX K8144) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2011-08-26 |