NPI | 1205987518 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY C VALENTINE President 281-974-7419 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00150) |
Enumeration Date | 2007-01-15 |
Last Update Date | 2017-02-06 |