| NPI | 1134510555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CHRISTINA BIGALBAL Csa Lsa Licensed Surgical Assistant 832-752-6718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2017-03-15 |