| NPI | 1144478629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORAN C HARTWELL Surgical Assistant/Managing 281-989-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2021-04-30 |