| NPI | 1407163538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTOBAL E PEREZ Sole Proprietor 210-408-0605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA04389) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2010-09-10 |