| NPI | 1366976235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO GILES Chairman/CEO 817-713-8905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00564) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-29 |