| NPI | 1457621468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YORDAN MORALES CEO 832-461-9413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00348) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2015-03-05 |