| NPI | 1588806301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO RUBIO Owner 281-463-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00141) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2009-03-25 |