| NPI | 1477963809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS ORTIZ Authorized Official 281-463-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00399) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |