| NPI | 1154652550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN DIAZ Partner 281-748-5042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00202) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |