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 |