| NPI | 1548435514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERCY JAVIER VELASQUEZ Lisence Surgical Assistant 281-494-1315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: TX SA00151) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |