| NPI | 1407258528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE BOWEN CEO 281-414-7495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00461) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |