NPI | 1114307907 |
---|---|
Entity Type | Organization |
Authorized Contact | ROXANNA LAROQUE Director Of Client Experience 210-598-2801 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2015-06-05 |
Last Update Date | 2022-07-07 |