| NPI | 1588872162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL R DIAZ Surgical Asst 713-806-0896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX SA00240) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |