| NPI | 1447789896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE BURK Owner 832-457-8868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00468) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-07-21 |