| NPI | 1558698985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO J ELIZONDO Owner 281-463-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00203) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2014-08-14 |