| NPI | 1235378274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY W EDWARDS Owner 281-463-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00256) |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2009-02-16 |