| NPI | 1346636230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA BALES Manager 281-333-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: TX PA09725) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |