NPI | 1447603683 |
---|---|
Entity Type | Organization |
Authorized Contact | ROXANNA LAROQUE Director Of Client Experience 210-598-4262 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2016-07-22 |
Last Update Date | 2022-08-19 |