| NPI | 1114314523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID OMID NAVID Owner 281-746-3070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX L6540) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-12-17 |