| NPI | 1508102559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ANN AHMED Owner 972-814-6341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA01673) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-19 |