| 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 |