| NPI | 1265500201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ERNESTO ROSILEZ Surgeon 832-887-9037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX 2721) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2021-05-05 |