| NPI | 1346530086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY PERKINS Owner 214-733-2789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00349) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |