| NPI | 1568882926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE NGUYEN Member 469-234-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA08770) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |