| NPI | 1316472939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE OSCAR CARRION Owner 281-653-2924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00331) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |