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 |