| NPI | 1255874178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE ALFONSO CORREA Owner 713-614-4465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00168) |
| Enumeration Date | 2016-11-25 |
| Last Update Date | 2016-11-25 |