| NPI | 1346596079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA J. OLSON Managing Partner 682-738-8079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA00025) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 631427) |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2017-03-28 |