| NPI | 1306105002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRASA FORD Owner 713-501-9703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX RN669199) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2020-03-26 |