| NPI | 1457406167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY JAY TREMPER Physician 915-544-3229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA00764) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |