| NPI | 1386996155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL RODRIGUEZ Surgical First Assistant 281-653-2924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2014-06-14 |