| NPI | 1235688102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE DUNCAN President 214-577-2615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX 616479) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |