| NPI | 1336761584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J FERNANDO CASTANEDA CEO 915-867-3989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |