| NPI | 1134467541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE CARRION Authorized Official 281-463-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00331) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2014-08-14 |