| NPI | 1154854586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON DONALD MARTINEZ Certified Surgical First Assistant/ 210-273-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: 143032) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |