| NPI | 1275091332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA J VILLATORO License Surgical Assistant 832-812-8342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2023-06-06 |