| NPI | 1114315306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHSIN QAYYUM Manager 281-993-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2015-01-30 |