NPI | 1235466889 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK GREAVES Owner 281-463-6309 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00294) |
Enumeration Date | 2009-11-03 |
Last Update Date | 2009-11-03 |