| NPI | 1396064762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY A PECO Physician Assistant 281-444-7726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA04031) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |