NPI | 1578970653 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID L BARTCZAK President 832-788-7283 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX SA00398) |
Enumeration Date | 2014-07-21 |
Last Update Date | 2014-07-21 |