| NPI | 1235569906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HERNANDEZ HERNANDEZ Owner 832-406-2427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00448) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2016-05-26 |