| NPI | 1437400942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM WORTH Billing Manager 214-227-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: NM R49466) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |