| NPI | 1164544318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTUARDO MOTA Certified Surgical Assistant 832-704-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00083) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |