| NPI | 1437566452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENOY ABRAHAM GEORGE Owner 972-974-2993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00482) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2016-05-24 |