| NPI | 1437825627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS J COTTRELL Owner 214-709-7562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-12-06 |