| NPI | 1386460780 |
|---|---|
| Former Legal Business Name | PA SURGICAL, PLLC |
| Entity Type | Organization |
| Authorized Contact | ROXANNA LAROQUE Director, Client Experience 210-598-4262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2025-08-22 |