| NPI | 1407100837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAYTON A FRENZEL CEO 817-342-0232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |