| NPI | 1487842324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OPAL HERRSCHER Assistant 281-335-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX 550275) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |