| NPI | 1306685979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICENTE GARCIA License Surgical Assistant 361-425-7027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |