NPI | 1295158475 |
---|---|
Entity Type | Organization |
Authorized Contact | JUAN CARLOS BUSTOS President 713-984-9918 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00382) |
Enumeration Date | 2014-01-24 |
Last Update Date | 2014-02-04 |