| NPI | 1134471949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANABEL DELCARMEN KEYS CEO/Operations Manager 281-830-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |