| NPI | 1164181335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON HARRIS Owner 361-728-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2022-01-03 |