| NPI | 1477782746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATSY CHAVEZ Authorized Official 281-463-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX SA00320) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2014-08-19 |