NPI | 1376077727 |
---|---|
Entity Type | Organization |
Authorized Contact | ROXANNA LAROQUE Director Of Client Experience 210-598-4262 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2017-04-12 |
Last Update Date | 2022-07-19 |